326 Index Points of dispensing (PODs) , 127 Policy , 10 , 12 , 13 , 15 , 21 , 30 , 39 , 43 , 48 , 49 , 51 , 53 , 54 , 62–64 , 66–68 , 78 , 84 , 85 , 90 , 91 , 138–141 , 144 , 146 , 148 , 149 , 151 , 154–157 , 159 , 162 , 167–170 , 172 , 177 , 180 , 182–184 , 188 , 191–194 , 200 , 242–246 , 249–252 , 257–260 , 263 , 267 , 270 , 273 , 275 , 281 , 293 , 302 , 311 Policy interventions , 139 , 155 Political , 8 , 10 , 11 , 18 , 19 , 22 , 24–27 , 29 , 31 , 32 , 37–39 , 42 , 44 , 54 , 68 , 76 , 78 , 81 , 138 , 143 , 146 , 148 , 150 , 160 , 169 , 170 , 178 , 180 , 181 , 185 , 188 , 230 , 236 , 242 , 246 , 248 , 250 , 252 , 267 , 268 , 271 , 275 , 277 , 278 , 286 , 287 , 296 , 297 , 305 , 307 Population , 4–10 , 23 , 26 , 31 , 37–39 , 44 , 47 , 49–54 , 62 , 65–69 , 73 , 80 , 82 , 85 , 89 , 141 , 143 , 144 , 150 , 156 , 163 , 164 , 168 , 173 , 178 , 180–183 , 187 , 188 , 195 , 241–243 , 245 , 247 , 249–252 , 260 , 261 , 263 , 264 , 271–273 , 277 , 278 , 282 , 286–288 , 292 benefits , 23 , 180–183 , 298 health , 6 , 27 , 50 , 61 , 62 , 66–69 , 96 , 137 , 138 , 148 , 156 , 243 , 244 , 249 , 251 health interventions , 38 Population health , 6 , 27 , 50 , 61 , 62 , 66–69 , 96 , 137 , 138 , 148 , 156 , 243 , 244 , 249 , 251 Poverty-reduction , 116 Power , 25 , 26 , 41 , 43–45 , 54 , 148 , 178 , 180 , 181 , 183 , 275 , 276 perceived power , 306 , 308 political power , 305 power dynamics , 297 , 306 , 307 Perilous path to peace , 274–278 Practical ethics , 3 , 19 Precedents , 9 , 29 , 50 , 54 , 259 Pre-exposure prophylaxis programs (PrEP) , 260 Pregnancy , 19 , 109 , 116 , 212 , 213 , 216–219 PrEP , 260–262 Presidential Commission for the Study of Bioethical Issues (PCSBI) , 45–47 , 126 , 293 Presumptive norm , 25 , 26 , 28 , 29 , 31 Presumptive values , 25–27 , 31 Prevention , 5 , 7 , 38 , 39 , 45 , 50 , 71 , 73 , 78 , 80 , 81 , 84 , 87 , 138 , 142 , 144 , 145 , 147 , 149 , 154 , 158–161 , 165 , 168–170 , 192 , 200 , 212 , 213 , 215 , 222 , 237 , 251 , 272 , 314–317 Prevention vs . treatment , 257 Primary prevention , 38 , 141 , 143 Principles , 4 , 7 , 10 , 11 , 13–24 , 26 , 27 , 32 , 37 , 38 , 42 , 43 , 49 , 53 , 54 , 65 , 68 , 78 , 80 , 81 , 86 , 138 , 141 , 151 , 168 , 242–244 , 246–248 , 251 , 258 , 259 , 285 , 286 , 288 , 293 , 306 , 308 Principles of Biomedical <strong>Ethics</strong> , 286 Principles of the Ethical <strong>Practice</strong> of <strong>Public</strong> <strong>Health</strong> , 285 Principlism , 20–23 Prioritizes , 4 , 7 , 12 , 18 , 21 , 37 , 73 , 169 , 296 , 307 , 311 Priority setting , 62–73 , 227 , 228 Priority setting in health care , 87–89 . See also <strong>Health</strong> priorities <strong>and</strong> resource allocation Prisoners , 46 , 47 , 221–223 Privacy , 29 , 30 , 39 , 52–54 , 97–99 , 113 , 114 , 291 , 297 Procedural justice , 29 , 169 PROCET . See Program for Control a nd Eradication of Tuberculosis (PROCET) Profession(al) , 13 , 15 , 19 , 21 , 22 , 24 , 27 , 32 , 38 , 47 , 50 , 54 , 72 , 81 , 141 , 143 , 144 , 149 , 157 , 169 , 180 , 182 , 185 , 189 , 192 , 194 , 209 , 219 , 228 , 249 , 269 , 282 , 288 , 289 , 314 , 315 Program for Control <strong>and</strong> Eradication of Tuberculosis (PROCET) , 129 Proportionality , 29 , 96 Prostitution , 98 , 120 , 121 , 123 <strong>Public</strong> health (definition of) , 5 , 37 <strong>Public</strong> health emergencies , 106 , 245 , 287 , 295 , 296 <strong>Public</strong> <strong>Health</strong> leadership Society , 7 , 15 , 285 <strong>Public</strong> health policies , 23 , 53 , 69 , 95 , 97 , 98 , 100 , 101 , 113 , 178 , 250 <strong>Public</strong> health research , 38 , 44–46 , 48 , 49 , 177 , 178 , 286–297 , 301–303 , 305–308 , 310–316 <strong>Public</strong> health research vs public health practice , 38 <strong>Public</strong> health service model , 112 <strong>Public</strong> health services , 23 , 65 , 275 <strong>Public</strong> health surveillance , 39 , 40 , 51 , 183 , 288 <strong>Public</strong> hospitals , 71–73 <strong>Public</strong>-private partnership(s) , 68 Q QALY . See Quality-adjusted life year (QALY) Quality-adjusted life year (QALY) , 17 , 64–66 Quality assurance , 112
Index 327 R Racism , 46 , 49 R<strong>and</strong>omized controlled trials , 141 , 142 , 286 Refugees , 209 , 231 , 237 , 305–307 Regulations , 6 , 18 , 20 , 21 , 23 , 28 , 38 , 40 , 42 , 43 , 49 , 66 , 70 , 113 , 121 , 129 , 146 , 148 , 155 , 173 , 179 , 183 , 185 , 188 , 217 , 218 , 236 , 238 , 244 , 252 , 263–265 , 280 , 281 , 286 , 287 , 289 Reproductive technology , 217 Research , 5 , 7 , 12 , 18 , 20–22 , 25 , 38–40 , 44 , 45 , 47–49 , 51 , 53 , 54 , 72 , 88 , 141 , 142 , 150 , 154 , 205 , 222 , 223 , 241 , 244 , 246 , 247 , 250–252 , 262–265 , 268 , 269 , 279–283 , 288 , 289 , 292–295 , 311 , 315 . See also Research funding Researchers’ obligations <strong>and</strong> responsibilities , 301 Research ethics , 4 , 18–23 , 37–39 , 47 , 264 , 281 Research ethics committees (RECs) , 289 , 310–313 Research funding , 312 Research oversight , 287 , 297 Residual bloodspots , 114 Resource allocation , 227 , 276 , 297 Resource allocation decisions , 61–63 , 70 Resource allocation (in public health versus medicine) , 61 , 63–68 , 70–73 , 75–78 , 80–82 , 84 , 85 , 87–92 Resource shortages , 227 Respect , 7 , 9 , 12 , 13 , 16 , 19 , 22–25 , 29 , 30 , 48 , 181 , 250 , 259 , 262 , 282 Respect for persons , 19 , 22–24 , 48 , 49 , 286 , 293 , 297 Returning research results , 293 , 294 Revisability condition , 69 Right to health , 4 , 8 , 16 , 99 , 100 , 122 , 138 , 145 , 249 , 250 Risk(s) , 8 , 11 , 12 , 17 , 20 , 22 , 28 , 30 , 31 , 47–52 , 54 , 61 , 67 , 72 , 78 , 137 , 138 , 140–143 , 146 , 148 , 150 , 155 , 158 , 160 , 163 , 165 , 169 , 170 , 172 , 173 , 178 , 181 , 252 , 253 , 260–262 , 264 , 265 , 267 , 269 , 273 , 280 , 292 , 293 , 315 benefit analysis , 291 , 292 management , 180 , 183 , 196 reduction , 180 Road safety , 199 Rockefeller Foundation , 241 Roma people , 232 Rousseau, J.-J. , 248 Rule-based guidelines , 298 Ryan White Care Act , 120 S Safe deliveries , 116 Safe drinking water , 181 , 195 Safety , 5 , 6 , 11 , 12 , 21 , 41–43 , 221 Safe water , 182 , 195–198 . See also Safe drinking water; Drinking water quality Sanctions , 133 , 244 , 250 , 274–278 Sanitation , 5 , 39 , 45 , 50 , 144 , 195 , 196 , 200 , 236 , 270–273 , 275 Sc<strong>and</strong>inavia , 192 Schools , 37 , 43 , 82 , 146 , 155 , 159 , 160 , 168 , 174 , 218 , 232 , 233 , 262 , 277 Screening , 29–31 , 76 , 141 , 142 , 164 , 257 Secondary prevention , 39 , 50 , 141–143 Secondh<strong>and</strong> smoke , 161 , 173 Self-determination , 29 , 52 , 242 Self-regulation models , 149 Self-regulatory approaches , 155 Self-regulatory codes , 155 . See also Selfregulatory approaches Sequential Organ Failure Assessment (SOFA) scores , 91 Serodiscordant couples , 260–262 Sexually transmitted infections (STI) , 121 , 122 SIDS . See Sudden Infant Death Syndrome (SIDS) Siracusa principles , 237 Smoke free legislation , 173 Smoking , 138–141 , 148 , 150 , 151 , 160 , 161 , 163 , 172–175 , 210 , 212 , 213 , 245 bans , 160 , 174 in public places , 150 , 172–175 Smoking-related causes of death , 172 Social-compact theory , 42 Social conditions , 9 , 164 , 248 , 252 Social consensus , 11 , 23 , 27 Social contract theory , 24 , 248 . See also Social-compact theory Social determinants , 8 , 158–159 , 165 , 252 Social determinants of health (SDH) , 8–9 , 123 , 179 , 227 , 246 , 251–253 Social equity , 185 Social gradient , 163 Social justice , 4 , 8–9 , 21–23 , 53 , 180 , 184 , 227 , 237 , 251 , 257 , 298 , 306 Social norms , 19 , 27 , 149 , 160 Social welfare , 117 Socioeconomic conditions , 163 Socioeconomic disparities , 133 Solidarity , 7 , 8 , 24 , 26–29 , 31 , 71 , 169 , 170 , 206 , 237 , 267 Spain , 68 , 96 , 102 , 105 , 106 , 168 Sponsorship , 156 , 295
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Public Health Ethics Analysis 3 Ser
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During the 21st Century, public hea
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Editors Drue H. Barrett Office of S
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Pref ace Public health ethics can b
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Preface ix This casebook is written
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xii Contents 3.4 Decision-Making Pr
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xiv Contents 6.6 Case 3: Safe Water
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Contributors Rima Afifi , PhD, MPH
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Contributors xix Dora M. Dumont , P
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Contributors xxi Juan Laguna-Sorina
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Contributors xxiii Babette Rump , M
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Section I Introduction to Public He
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Section II Topics in Public Health
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62 N. Daniels risks matters, not ju
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64 N. Daniels It is then possible t
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66 N. Daniels The case Guzmán brin
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108 M.J. Selgelid Moran, N.E., S. G
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128 M.J. Selgelid 4.14.3 Discussion
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